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Testicular torsion

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https://www.readbyqxmd.com/read/28514960/segmental-testicular-infarction-a-case-report
#1
Tine Smets, Gina Reichman, Dirk P J Michielsen
BACKGROUND: Segmental testicular infarction is a very rare condition, which can mimic a testicular torsion or testicular cancer. Correct diagnosis is difficult but it is important to avoid unnecessary radical treatment. CASE PRESENTATION: We report a clinical case of a 36-year-old white man who presented at our emergency department with subacute testicular pain. A urine analysis, Doppler ultrasound, surgical exploration, blood analysis, and magnetic resonance imaging were performed to diagnose his condition, to exclude a testicular torsion, and to raise confidence in its non-malignancy...
May 18, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28511233/-diagnostic-imaging-in-cases-of-acute-scrotum
#2
Natalie Ring, Gundula Staatz
Acute scrotum is one of the most common urologic emergencies in children and adolescents. This condition involves acute testicular pain, which is often accompanied by scrotal swelling and erythema. It is most important to distinguish between cases that require immediate surgery and those that can be treated conservatively. As patient history and physical findings may not always be unequivocal, ultrasound with Colour-Coded Doppler Sonography is the imaging modality of choice for further evaluation. Testicular torsion and other differential diagnoses such as epididymitis, appendiceal torsion, intratesticular haematoma after trauma, or complicated inguinal hernia have to be considered...
May 16, 2017: Aktuelle Urologie
https://www.readbyqxmd.com/read/28505690/incidence-of-low-grade-testicular-injury-in-orchidectomy-specimens-post-testicular-torsion
#3
Olugbenga Michael Aworanti, Piotr Hajduk, Deirdre Devaney, Feargal Quinn, Sami Awadalla
No abstract text is available yet for this article.
May 15, 2017: European Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/28497463/can-haematologic-parameters-be-used-for-differential-diagnosis-of-testicular-torsion-and-epididymitis
#4
A Bitkin, M Aydın, B C Özgür, L Irkilata, E Akgunes, Mevlut Keles, H Sarıcı, M K Atilla
A differential diagnosis of testicular torsion and epididymitis has serious importance for testicular health. In emergency conditions, if testicular torsion goes unnoticed and epididymo-orchitis is diagnosed, organ loss may occur. This study aimed to evaluate the usefulness of haematologic parameters for the diagnosis of both testicular torsion and epididymo-orchitis and for differential diagnosis of these two diseases. Patients were divided into three groups as those undergoing surgery for testicular torsion, those receiving medical treatment for epididymitis and a healthy control group...
May 12, 2017: Andrologia
https://www.readbyqxmd.com/read/28481071/-long-term-evolution-of-detorsion-of-the-testes-after-acute-scrotum
#5
Y González Ruiz, B Izquierdo Hernández, P Bragagnini Rodríguez, A Siles Hinojosa, R Fernández Atuán, N Álvarez García, J Gracia Romero
OBJECTIVES: To assess the long-term evolution of the testicles preserved after testicular torsion (TT). MATERIAL AND METHODS: We realized a prospective study by ultrasound of patients diagnosed TT that underwent orchidopexy. We reviewed 85 patients treated for acute scrotum (2004-2014), finding 49TT. We excluded from the study 15 perinatal torsions, 14 orchiectomies and 5 patients who refused to participate. We analyzed 15 patients, comparing testicular volumes between affected and contralateral testes, and the difference in volume between the two testes of the 15 cases with 14 control patients (Mann-Whitney U test)...
October 10, 2016: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
https://www.readbyqxmd.com/read/28476481/testicular-torsion-a-retrospective-investigation-of-predictors-of-surgical-outcomes-and-of-remaining-controversies
#6
Irene Castañeda-Sánchez, Briana Tully, Mary Shipman, Alice Hoeft, Tyler Hamby, Blake W Palmer
INTRODUCTION: Testicular torsion (TT), a common surgical emergency worldwide, is typically treated with orchiectomy or orchiopexy. It is widely accepted that the chance of salvaging the testicle declines with time and degree of torsion. The impact of ethnicity on outcome is less well understood, and the association between weather and onset of TT remains a controversy. OBJECTIVES: It is important to know the signs of TT so that appropriate treatment can be given quickly...
April 21, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28442025/protective-effects-of-polydatin-on-experimental-testicular-torsion-and-detorsion-injury-in-rats
#7
Huilian Qiao, He Ma, Wanjun Cao, Hao Chen, Jinhua Wei, Zhen Li
Oxidative stress plays a critical role in the process of testicular torsion and detorsion (T/D). The purpose of the present study was to investigate the protective effect of polydatin (PD) on testicular T/D injury. Rats were randomly divided into three groups, a sham group, a group subjected to 2h torsion followed by 24h detorsion and a group subjected to T/D and injected i.p. with 20mgkg-1 PD 30min before detorsion. Unilateral orchiectomy was performed after 24h of reperfusion. Half the testes were prepared for histological examination by haematoxylin-eosin staining and the terminal deoxyribonucleotidyl transferase-mediated dUTP-digoxigenin nick end-labelling (TUNEL) technique...
April 26, 2017: Reproduction, Fertility, and Development
https://www.readbyqxmd.com/read/28427778/factors-associated-with-delayed-presentation-and-misdiagnosis-of-testicular-torsion-a-case-control-study
#8
Christopher E Bayne, Jeffrey Villanueva, Tanya D Davis, Hans G Pohl, H G Rushton
We identified factors associated with delay in presentation and misdiagnosis of testicular torsion. Compared with acute cases, delayed presentations were more likely to report isolated abdominal pain, developmental disorders, and history of recent genital trauma. Failure to perform a genitourinary examination or scrotal imaging was associated with misdiagnosis.
April 18, 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/28403493/-acute-idiopathic-scrotal-oedema-differential-diagnosis-of-the-acute-scrotum
#9
Annette Schröder
Acute idiopathic scrotal edema (AISE) is regarded as a rare cause of scrotal pain, swelling and erythema. Testicular torsion, torsion of the appendage, epididymitis, hernia and hydrocele are the most common causes of acute scrotum. The clinical symptoms of AISE are usually mild and the characteristic Doppler sonography findings make it a valuable differential diagnosis, which can help to avoid unnecessary exploration.
February 2017: Aktuelle Urologie
https://www.readbyqxmd.com/read/28403492/-surgical-management-of-acute-scrotum
#10
Nina Huck, Maria Roll, Katrin Zahn, Raimund Stein
Acute scrotum is a challenging emergency situation in children, adolescents and adults with a variety of underlying conditions and causes. In cases with a clinical suspicion of torsion of the spermatic cord, immediate surgical exploration is mandatory. This article details the surgical management of this condition. Any delay in restoring testicular blood supply may cause irreversible loss of vital testicular tissue.
February 2017: Aktuelle Urologie
https://www.readbyqxmd.com/read/28402715/protective-effect-of-cordycepin-on-experimental-testicular-ischemia-reperfusion-injury-in-rats
#11
Mehmet Hanifi Okur, Serkan Arslan, Bahattin Aydogdu, Hikmet Zeytun, Erol Basuguy, Mehmet Serif Arslan, Ibrahim Ibiloglu, Ibrahim Kaplan
OBJECTIVE: To investigate the role of cordycepin in testicular ischemia/reperfusion injury in rats. MATERIALS AND METHODS: Forty Wistar albino rats were randomly divided into four groups, as follows: group one, control (C); group two, torsion and ischemia (I); group three: detorsion with ischemia-reperfusion (IR); and group four, detorsion/cordycepin. The rats were then analyzed macromorphologically and histopathologically, and blood tests were performed. Specifically, the total oxidant status (TOS) and total antioxidant status (TAS) were determined, and malondialdehyde (MDA), tumor necrosis factor (TNF)-α, interleukin (IL)-6, and IL-1β levels were analyzed...
April 12, 2017: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/28392394/trans-scrotal-near-infrared-spectroscopy-as-a-diagnostic-test-for-testis-torsion-in-pediatric-acute-scrotum-a-prospective-comparison-to-gold-standard-diagnostic-test-study
#12
Bruce J Schlomer, Melise A Keays, Gwen M Grimsby, Candace F Granberg, Daniel G DaJusta, Vani S Menon, Lauren Ostrov, Kunj R Sheth, Martinez Hill, Emma J Sanchez, Clanton B Harrison, Micah A Jacobs, Rong Huang, Berk Burgu, Halim Hennes, Linda A Baker
PURPOSE: A rapid test for testicular torsion in children may obviate delay for testicular ultrasound. This study assessed testicular tissue percent saturation of oxygen (%StO2) measured by trans-scrotal near-infrared spectroscopy (NIRS) as a diagnostic test for pediatric testicular torsion. METHODS AND FINDINGS: This was a prospective comparison to a gold standard diagnostic test study that evaluated NIRS %StO2 readings to diagnose testicular torsion. Gold standard for torsion diagnosis was standard clinical care...
April 6, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28316630/patients-with-epididymo-orchitis-and-meteorological-impact-in-taiwan-a-nationwide-population-based-study
#13
Jui-Ming Liu, Ying-Hsu Chang, Te-Wei Ho, Fung-Wei Chang, See-Tong Pang, Ren-Jun Hsu, Po-Hung Lin
Background. Epididymo-orchitis is a common infectious disease among men, especially men aged 20 to 39 years. The aim of this study was to analyze possible associations of various meteorological indicators on the incidence of epididymo-orchitis in Taiwan. Methods and Materials. This nationwide population-based study collected data on cases of epididymo-orchitis that were newly diagnosed from 2001 to 2013 in Taiwan. Monthly meteorological indicators, including average temperatures, humidity, rainfall, total rain days, and sunshine hours, were collected from the Central Weather Bureau of Taiwan...
2017: Canadian Journal of Infectious Diseases & Medical Microbiology
https://www.readbyqxmd.com/read/28296551/the-ameliorative-effects-of-vinpocetine-on-apoptosis-and-hsp-70-expression-in-testicular-torsion-in-rats
#14
M F Sönmez, Ş Ozdemir, M Guzel, E Kaymak
Vinpocetine is a potent antioxidant and free radical scavenger. We investigated the effects of vinpocetine on torsion/detorsion (T/D) induced testicular damage, HSP-70 expression and germ cell apoptosis in rats. Sixty Wistar albino adult male rats were divided into five groups of 12. The groups comprised a control group, a sham treated group, a T/D group, a vinpocetine treated group, and a T/D plus vinpocetine treated group. The left testis of each rat was subjected to unilateral torsion followed by detorsion after 2 h...
2017: Biotechnic & Histochemistry: Official Publication of the Biological Stain Commission
https://www.readbyqxmd.com/read/28295651/the-cremasteric-reflex-and-its-muscle-a-paragon-of-ongoing-scientific-discussion-a-systematic-review
#15
Gilbert M Schwarz, Lena Hirtler
The technique of triggering the cremasteric reflex and its respective signaling pathway is not described uniformly throughout the literature. As this reflex is a useful sign in diagnosing testicular torsion, orchitis, varicocele, and undescended testis, it seems desirable to identify and define the correct mechanism. Our aim was to investigate how the cremasteric reflex and its signaling pathway are described in the current literature and how the variability of the innervation of the inguinal region could affect the frequency of this reflex...
March 13, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28291658/how-do-they-get-here-does-the-method-of-transportation-impact-salvage-for-patients-with-testicular-torsion
#16
D A Weiss, N Tsarouhas, M C Carr, A Kalmus, S A Zderic
INTRODUCTION: A growing number of patients are arriving at our tertiary care center for evaluation of possible testicular torsion using ambulance or helicopter transport. In many cases the parents arrive by car before the patient arrives. Are these advanced methods of medical transport worth the expense and risk in the case of suspected testicular torsion? OBJECTIVE: We evaluated the total number of patients presenting to our emergency room for suspected testicular torsion to see if the means of transport affected testicular survival...
January 23, 2017: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/28265317/inguinoscrotal-pathology
#17
REVIEW
Luis Guerra, Michael Leonard
Infants, children, and adolescents with inguinoscrotal pathology comprise a significant proportion of emergency department and outpatient visits. Visits to the emergency department primarily comprise individuals presenting with scrotal pain due to testicular torsion or torsion of the testicular appendages. At such time, immediate urological consultation is sought. Outpatient visits comprise those individuals with undescended testes, hydroceles, and varicoceles. Rare, but important problems, such as pediatric testicular tumours, may also present in the office setting...
January 2017: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/28250657/short-term-effects-of-date-palm-extract-phoenix-dactylifera-on-ischemia-reperfusion-injury-induced-by-testicular-torsion-detorsion-in-rats
#18
Alireza Raayat Jahromi, Rokhsana Rasooli, Younes Kamali, Nasrollah Ahmadi, Ehsan Sattari
BACKGROUND: Antioxidants are potent scavengers of free radicals and have beneficial effects on human health. OBJECTIVE: The aim of this study was to investigate the potential protective antioxidant activity of the edible portion of date fruit extract in an experimental testicular torsion/detorsion (T/D) model in rats. MATERIALS AND METHODS: To investigate the potential protective effects of date palm (DP), 30 male Spraque-Dawley rats were divided into three groups: sham-operated, T/D, and T/D + DP-treated (500 mg/kg, PO) groups...
January 2017: Pharmacognosy Research
https://www.readbyqxmd.com/read/28240634/torsed-and-nontorsed-inguinal-undescended-testis-comparison-of-computed-tomography-findings
#19
Eyal Klang, Nadin Kanaan, Michalle Soudack, Yeruham Kleinbaum, Zehava Heiman, Steve Raskin, Marianne Michal Amitai
OBJECTIVE: The aim of this study was to compare the computed tomography imaging features of a torsed inguinal testis with nontorsed inguinal testes. METHODS: Computed tomography scans of patients with undescended testes were retrospectively collected (2011-2016). Imaging features of nontorsed undescended testis were compared with a case of an inguinal torsed testis. Observations included location of the undescended testis, size (length × width) and texture of each testis, peritesticular findings, position of testicular vessels, and enhancement patterns...
February 24, 2017: Journal of Computer Assisted Tomography
https://www.readbyqxmd.com/read/28239996/re-presentations-and-recurrent-events-following-initial-management-of-the-acute-paediatric-scrotum-a-5-year-review
#20
Shareena Lala, Neil Price, Vipul Upadhyay
BACKGROUND: Previous reviews report relatively low rates of post-operative complications for acute scrotal exploration. The aim of this study was to evaluate the re-presentation to hospital in boys with previous acute scrotal pathology, reviewing contralateral symptoms, post-operative complications, testicular torsion following fixation and failure of conservative management of testicular appendage (TA) torsion. METHODS: All boys under 16 years presenting to our unit with an acute scrotum from January 2008 to December 2012 (5-year period) were identified...
February 27, 2017: ANZ Journal of Surgery
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